The Philippines is experiencing a significant demographic transition with a growing proportion of older adults within its population. This shift is accompanied by rapid urbanization, which is reshaping traditional family structures and altering the dynamics of caregiving. Despite the cultural emphasis on close family ties and the responsibility of caring for elderly relatives, there is a notable scarcity of research focused on elder care in residential facilities within the country. This gap highlights the need for a deeper understanding of how these societal changes impact the care of the elderly, particularly in a context where familial caregiving has historically been paramount.

To determine the relationship between family function and the acceptability of residential care facilities among elderly patients and their families at a tertiary government hospital last December 2024.

The study was conducted in Las Piñas General Hospital and Satellite Trauma Center. A survey among elderly patients (n=40) and patient dyads (n=40) was conducted to determine the level of family function by using Family APGAR and their level of acceptability on residential care facility using the Likert scale. The relationship of Family function and acceptability on Residential Care facilities was determined using Spearman’s correlation.

The findings revealed a significant prevalence of functional families among respondents, 42.5% in the elderly, and 65% in the family member dyads, alongside a mixed perception of residential care facilities, 62.5% favorable response in the patient dyads, and 72.5% in the elderly group. Correlation analysis indicated a weak negative association (correlation coefficient -0.193, p-value 0.087) between family function and acceptability, suggesting that as family function decreases, the acceptability of residential care increases, although this relationship was not statistically significant.

There is a prevalence of highly functional families in both the elderlies and patient dyads in the selected institution. The level of acceptability of residential care facilities was noted to be high with a negative correlation but not statistically significant with family function. Future investigations are recommended to deepen understanding of the complex relationships between family dynamics and acceptability of residential care facilities. It is imperative to address the implications for healthcare strategies and the support systems that serve aging populations. Efforts must be made to ensure that both elderly individuals and their families are adequately prepared for the transition to residential care, taking into account their unique needs, fears, and expectations.